| NPI | 1912021619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE A. WATSON Business Office Manager 301-990-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD D0007966) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-10-24 |